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Fungal ToenailsA fungal infection in one of your toenails can be both uncomfortable and unsightly. To fix the problem, there are both topical and oral treatments that can be used. If you are suffering from a fungal toenail, see your podiatrist as soon as possible. 
 
Fungal toenails tend to affect older men most frequently. As you get older, there is a diminished flow of blood to your toes and a longer period of exposure to fungi. Here are a few more of the most common factors that can increase your chances of getting a fungal toenail:
  • Walking barefoot in wet public areas. Walking without shoes in swimming pools, showers or gyms can increase your chances of a fungal infection.
  • Sweating heavily. If your feet are constantly sweaty, fungus will be more likely to survive and thrive near your toes in your shoe. 
  • Diabetes. Diabetes restricts the flow of blood to the extremities. Because of this, your immune system will be less prepared to fight off the fungal infection.
  • Poor shoes. If you wear shoes that do not ventilate or effectively absorb perspiration well, fungus will be able to thrive near your feet. 

Options To Treat Fungal Toenails

There are over the counter creams and ointments available, but they are generally not as effective as prescribed medications from your podiatrist. When you see your podiatrist, depending on the severity of the infection, they will usually prescribe either an oral medication or a topical cream. 
 
Oral medications are generally taken for 6 to 12 weeks. They work by helping a new nail to grow without any infection, and because of this, the infection resolves somewhat slowly. It will take roughly four months for the nail to truly heal. Your podiatrist may also prescribe a topical medication that you will apply directly to your toenail. 
 
In the most extreme cases, your podiatrist may perform surgery to remove your nail. If this happens, your nail will grow back very slowly, possibly taking up to a year to fully grow back.
 
To learn more about how to treat your fungal toenail or to schedule an appointment, contact your podiatrist today!
By Dr. Orman
November 15, 2017
Category: Foot Issues
Tags: Bunions   Foot Pain  

One of the most common foot problems we see is bunions, which also referred to as Hallux Valgus. The bunion is a prominent bump on the inside of the foot around the big toe joint. The bone, whichBunions protrudes towards the inside of the foot, can sometimes push the big toe under or over the second toe.  

Although bunions are a common foot deformity, there are many misconceptions about them. People may even go about their lives not realizing they have a bunion, because it does not initially cause pain. Bunions are a progressive disorder in which the bump becomes increasingly prominent. Symptoms usually appear at later stages, but some people may not exhibit any.

Treating Your Bunion: Tips from Your Podiatrist

Since bunions are bone deformities, they do not resolve by themselves. The first goal of bunion treatment is to relieve the pressure and pain that is caused by irritations, while the second is to stop any progressive growth of the enlargement. Some common methods used for treating your bunion and reducing pressure include:

  • Protective padding to eliminate the friction against shoes and help alleviate inflammation and skin problems.
  • Removal of corns and calluses on the foot. 
  • Carefully fitted footwear designed to accommodate the bunion and not contribute toward its growth.  
  • Orthotic devices to help stabilize the joint and place the foot in the correct position for walking and standing.
  • Exercises to maintain joint mobility and prevent stiffness or arthritis.
  • Splints for nighttime wear to help the toes and joint align properly.

When early treatments fail, or your bunion begins to worsen over time, a consultation with your podiatrist will be needed. Depending on the size of the enlargement and pain, your podiatrist may recommend surgery. It is important to not ignore foot pain, as it can worsen over time. Protect your feet and seek treatment immediately. 

By Dr. Orman
November 10, 2017
Category: Foot Care
Tags: ankle sprain  

Ouch, ouch, ouch! You were running, hit a patch of uneven pavement and twisted your ankle hard. You need medical attention from your ankle sprainpodiatrist in Baltimore, MD, Dr. Edward Orman. You may have sprained your ankle, and while this is a common injury, don't ignore it. Take advantage of the skilled and compassionate care provided by the team at Honeygo Podiatry.

Signs of an ankle sprain

When sudden force twists your ankle, the ligaments and tendons which support your lower extremity may be stretched or even torn. This is a classic ankle sprain, giving you symptoms of:

  • Pain
  • Swelling
  • Redness
  • Ankle instability (wobbling from side to side)
  • Inability to support your body weight
  • Bruising
  • Limitations in range of motion (the ankle feels stiff)

With any combination of these symptoms, contact your podiatrist in Baltimore, MD, right away. He'll give you immediate advice and a same-day appointment at Honeygo Podiatry if needed. At the office, Dr. Orman will visually inspect your foot and ankle and take X-rays to determine the exact nature of your ankle injury.

Treating an ankle sprain

The American Academy of Family Physicians says that acute ankle injuries number more than 2 million annually in the United States. Proper and immediate treatment helps avoid long-term disability.

For the simplest of ankle sprains, Dr. Orman recommends RICE:

  • Rest
  • Ice (20 minutes on and 20 minutes off) to reduce swelling
  • Compression bandages to support and protect
  • Elevation to reduce swelling

Additionally, some patients require crutches to avoid placing weight on the injured ankle for a pre-determined amount of time. Casting or wearing a lace-up boot provides extra support for a severe sprain, and surgery to repair torn connective tissue helps the most serious of injuries. Dr. Orman is board-certified in foot and ankle surgery; so you can trust his expertise. Whether you need surgery or not, exercise and physical therapy help strengthen sprained ankles and speed healing, too.

Preventing ankle sprains

Athletic or not, you owe it to yourself to stretch your lower extremities before you exercise. Additionally, stay in good condition. Avoid gaining excess weight, and if you begin a program of strenuous exercise, do so gradually. Wear well-supporting and well-fitting shoes that are in good condition. Finally, if you know your ankles tend to be weak, wear ankle supports, or ask Dr. Orman if shoe orthotics (inserts) would keep your ankles from rolling and twisting.

Whatever your need...

Podiatrist Dr. Edward Orman and his staff will help your feet and ankles stay at their best. For a routine podiatric exam, or if you have an urgent problem, please call Honeygo Podiatry in Baltimore, MD at (410) 529-4141.

By Dr. Orman
November 03, 2017
Category: Foot Care
Is heel pain keeping you down? Pain that occurs following an injury or early in an illness may play a protective role, warning us about the damage we have suffered. So what causes heel pain?
 
Plantar fasciitis is a foot condition in which a band of tissue in the sole of the foot becomes inflamed, leading to severe heel pain. The pain can be so bad that it hurts to walk, much less exercise or perform daily activities. If one step causes shooting pain in your heel—especially when you first get out of bed in the morning or stand up after sitting for a long period of time—plantar fasciitis may be to blame. Contact your podiatrist immediately for proper diagnosis and treatment of your pain. 
 

Understanding Heel Pain with Help from Your Podiatrist

Plantar fasciitis, or heel pain, occurs when the plantar fascia is strained over time beyond its normal extension. This causes the soft tissue fibers of the fascia to tear or stretch at points along its length, leading to inflammation, pain and possibly the growth of a bone spur where it attaches to the heel bone.
 
Inflammation may become irritated by shoes that lack appropriate support, mainly in the arch area and by the constant irritation associated with an athletic lifestyle. Resting may provide temporary relief, but when you resume walking you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk the pain may lessen or even disappear, but that may just be a false sense of relief, as the pain will often return after prolonged rest or extensive walking.  
 
You can take steps now to avoid heel pain, including:
  • Wear shoes that fit well
  • Wear proper shoes for each activity
  • Do not wear shoes with excessive wear on heels or soles
  • Prepare properly before exercising by stretching and warming up
  • Pace yourself when you participate in athletic activities
  • Don’t underestimate your body’s need for rest and good nutrition
  • Lose excess weight
If pain and other symptoms of inflammation persist, you should limit your normal daily activities and contact your podiatrist immediately.  
By Dr. Orman
October 16, 2017
Category: Foot Care
Your feet may be the most underapprecuated and hardest working parts of your body. During your lifetime, they endure hundreds of thousands of miles. So taking care of your feet is important; especially Foot Care Tipssince a simple, everyday task like walking can become painful if an injury or problem occurs. Fortunately, foot care can be simple and easy with the help of your podiatrist. Here are three easy ways to care for your feet and keep them looking, feeling and functioning as they should.  

Practice Routine Foot Care

It's true that most of us neglect our feet, and practicing good foot hygiene normally takes a back seat when compared to other health and beauty treatments. But we need to take care of our feet if we want to maintain a pain-free and active lifestyle. Here are a few simple foot care tips that help keep your feet looking fresh and feeling at the top of their game. 
  • Wash your feet daily with warm water. Whenever you get your feet wet, make sure to dry them thoroughly, especially between the toes.
  • Keep skin soft and smooth with foot cream (ask your podiatrist for suggestions). Apply it to the tops and bottoms of your feet. Do not put lotion between the toes to avoid causing an infection. 
  • Scrub your feet, especially the heels, with a foot scrubber or pumice stone on a regular basis to remove calluses and dead skin.
  • Trim toenails once a week, cutting the nails straight across to avoid ingrown toenails. 
  • In the sun, apply sunscreen to protect your exposed feet.
  • To keep you feet dry and odor free, make use of products like foot powders and sprays. 

Wear Appropriate Footwear

One of the best ways to keep your feet looking and feeling healthy is to wear the proper footwear. Purchase shoes that fit well and offer appropriate support for your feet. The best time to buy shoes is later in the day when the feet are swollen from walking, and to replace old, worn out shoes as soon as possible. It’s also important to select and wear the right shoe for each sport or activity, such as running shoes if you’re a runner. Your podiatrist can help you determine the shoe that will offer the most support and stability for your feet.  
 
Taking care of our feet doesn’t have to be difficult. In fact, incorporating a few extra steps into your daily routine can keep your feet looking and feeling their best. Always consult with your podiatrist if you experience pain or discomfort in your feet or ankles. And if you are diabetic, you run a much higher risk of developing foot problems, so visit your podiatrist regularly for foot care tips and exams!




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